Doctor insights on:
Do A Lot Of People Get Esophageal Varices
Location: Both areas represent collateral circulation between the portal system (think guts) and the systemic circulation. Increased flow in these areas leads to enlargement of the veins and the problems listed. Both may be a sign of problem in the portal system, or may be isolated problems. Further history, examination and testing is needed to know more. ...Read moreSee 1 more doctor answer
Variety of things: Esophageal varices are dilated veins that form when the liver is damaged. When the liver is scarred blood flow "backs up" into nereby veins like those in the esophagus, they can then bleed. Therapy is aimed at lowering the bleeding risk. Medicines which lower the pressure in the veins ( beta blockers, nitrates) can help. So can procedures that divert blood flow from the liver ( "tips". ...Read more
Can not: Oesophageal varices are enlarged submucosal veins that develop secondary to portal vein hypertension. Operations to decompress the portal vein system into the vena cava or the left renal vein have been developed as well as interrupting the varices from the portal system. Consult hepatologist and portal surgeon.Liver transplant can eliminate portal hypertension. ...Read moreSee 1 more doctor answer
They don't ...: Esophageal varices are caused by portal hypertension, usually from cirrhosis. They do not go away with weight loss. Have you seen a liver specialist (hepatologist) yet? Please do so. Your question suggests a lack of understanding and varices can have fatal complications. ...Read more
Cirrhosis: Scarring of the liver (cirrhosis) interferes with blood flow into the liver substance, especially venous blood coming from the gastrointestinal tract. This results in rerouting of this venous blood which is returned to the heart through esophageal varices, which are veins that become abnormally dilated in order to acommodate this increased volume of blood. ...Read moreSee 1 more doctor answer
Banding: Esophageal varices are treated with endoscopic banding, a procedure (semi invasive) that ties the varices in the esophagus that prevents them from bleeding. Sclerotherapy (injecting a substance that will cause obliteration of a varix) is another option, but is less frequently used. Anti-acid therapy with acid reducers is added as well. ...Read moreSee 1 more doctor answer
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